Primary nurse | “Ok, so I think that is kind of a reaction from the epidural [Education and Counseling], we just want to make sure we increase your fluids” [Goal] |
“I’m going to hit the call button and get a second nurse in here.” [Goal] | |
Primary nurse | Presses call button [Clinical Tool] |
Support nurse | “Hi, how's it going? What's going on?” [Situational Management] |
Primary nurse | “First, if you could get some extra pillows to turn her on her side, and then call the anesthesiologist back.” [Situational Management] |
Support nurse | Observes fetal tracing and maternal vital signs [Clinical Artifacts] |
Support nurse | “So, you just got an epidural?” [Diagnostic Question] |
Patient | “Yeah, uh..is there something wrong?” |
Support nurse | “So sometimes when we give an epidural we can have your blood pressure drop down a little bit, so were going to try and um, get that kind of…back up a little bit [Goal]. So were going to roll you over on your left side a little bit more.” [Education/Counseling] |
Support nurse | (to primary nurse) “Do you want to…uh…roll her over a bit more?” [Situational Management] |
Primary nurse | “…Uh, yeah…Okay.” |
Support nurse | (to primary nurse) “I'm just going to get another pillow so we can get her all the way over on her left.” [Situational Management] |
Support nurse | Exits and re-enters the room with an additional pillow [Clinical Tool] |